Outpatient procedure · APC 8011

Comprehensive Observation Services

In 2024, Medicare and patients paid an average of $2,634 per procedure at 2,753 hospitals. Half of hospitals averaged between $2,362 and $2,697.

Also known as: Observation stay

National figures, 2024

Average payment per case: $2,634
Typical range (middle half of hospitals): $2,362–$2,697
Medicare’s share: $2,09079% of the payment
Average billed charge: $24,060
Hospitals reporting: 2,753815,315 procedures

Hospitals in Texas

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Average payment across these 232 hospitals: $2,444National $2,634 · Texas $2,445
Median hospital: $2,445
Lowest to highest: $2,235–$2,718
Medicare procedures: 57,552

232 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–150. Download as CSV

Medicare payments per case for Comprehensive Observation Services by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
UT Health East Texas Henderson HospitalHenderson, TX · CCN 450475	45	$2,435	About average	$1,940	$32,033
Carrollton Regional Medical CenterCarrollton, TX · CCN 450730	69	$2,436	About average	$1,913	$17,705
Medical City PlanoPlano, TX · CCN 450651	208	$2,436	About average	$1,934	$42,496
Baylor Scott & White The Heart Hospital PlanoPlano, TX · CCN 670025	153	$2,438	About average	$1,937	$23,433
Medical City Dallas HospitalDallas, TX · CCN 450647	77	$2,438	About average	$1,936	$35,644
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	249	$2,440	About average	$1,939	$20,983
Hunt Regional Medical CenterGreenville, TX · CCN 450352	355	$2,440	About average	$1,939	$17,299
Texas Health Arlington Memorial HospitalArlington, TX · CCN 450064	420	$2,441	About average	$1,940	$21,866
Texas Health Hospital FriscoFrisco, TX · CCN 670260	266	$2,441	About average	$1,940	$22,914
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 670085	393	$2,441	About average	$1,939	$22,812
Texas Health Harris Methodist Hospital CleburneCleburne, TX · CCN 450148	67	$2,442	About average	$1,938	$21,177
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	94	$2,442	About average	$1,940	$30,244
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 450771	488	$2,443	About average	$1,942	$23,668
Medical City North HillsNorth Richland Hills, TX · CCN 450087	75	$2,445	About average	$1,942	$35,559
Medical City DecaturDecatur, TX · CCN 450271 · +$1,129 outlier payments per case	75	$2,445	About average	$1,942	$51,031
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	326	$2,445	About average	$1,944	$24,236
Texas Health Presbyterian Hospital KaufmanKaufman, TX · CCN 450292	110	$2,445	About average	$1,945	$24,730
Methodist Charlton Medical CenterDallas, TX · CCN 450723	697	$2,447	About average	$1,942	$27,676
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	408	$2,447	About average	$1,944	$21,003
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	240	$2,447	About average	$1,941	$29,246
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	870	$2,448	About average	$1,947	$22,328
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 450639	526	$2,448	About average	$1,946	$23,273
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	267	$2,449	About average	$1,948	$19,530
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	386	$2,451	About average	$1,948	$22,421
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	717	$2,451	About average	$1,948	$30,246
Parkland Health & Hospital SystemDallas, TX · CCN 450015 · +$147 outlier payments per case	565	$2,456	About average	$1,955	$26,099
Medical City ArlingtonArlington, TX · CCN 450675	134	$2,456	About average	$1,951	$51,342
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	578	$2,457	About average	$1,955	$22,898
St Luke's Hospital At The VintageHouston, TX · CCN 670075	58	$2,458	About average	$1,942	$33,350
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	574	$2,458	About average	$1,951	$32,176
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	384	$2,459	About average	$1,958	$35,507
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046 · +$205 outlier payments per case	334	$2,460	About average	$1,956	$42,195
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	180	$2,462	About average	$1,948	$11,134
Dallas Regional Medical CenterMesquite, TX · CCN 450688	14	$2,463	About average	$1,963	$26,247
Medical Center Of McKinneyMckinney, TX · CCN 450403	76	$2,463	About average	$1,963	$49,297
Baylor Scott And White Medical Center SunnyvaleSunnyvale, TX · CCN 670060	52	$2,463	About average	$1,959	$22,921
Medical City Las ColinasIrving, TX · CCN 450822	34	$2,463	About average	$1,957	$59,494
White Rock Medical CenterDallas, TX · CCN 450678	21	$2,463	About average	$1,956	$20,628
Childrens Medical Center Of DallasDallas, TX · CCN 453302	27	$2,463	About average	$1,956	$31,384
Ascension ProvidenceWaco, TX · CCN 450042	90	$2,464	About average	$1,958	$18,036
JPS Health NetworkFort Worth, TX · CCN 450039 · +$89 outlier payments per case	898	$2,467	About average	$1,962	$18,086
Baylor Scott & White Emergency HospitalAubrey, TX · CCN 670062	82	$2,471	About average	$1,969	$18,801
Texas Health Heart & Vascular Hospital ArlingtonArlington, TX · CCN 670071	73	$2,471	About average	$1,969	$10,026
The Heart Hospital Baylor DentonDenton, TX · CCN 450893	45	$2,471	About average	$1,969	$22,628
Texas Health Harris Methodist Hospital AzleAzle, TX · CCN 450419	71	$2,471	About average	$1,968	$23,886
Methodist Southlake Medical CenterSouthlake, TX · CCN 670132 · +$2,659 outlier payments per case	146	$2,471	About average	$1,968	$23,408
Medical City AllianceFort Worth, TX · CCN 670103	36	$2,471	About average	$1,968	$43,191
Medical City WeatherfordWeatherford, TX · CCN 450203	77	$2,471	About average	$1,967	$31,183
Medical City LewisvilleLewisville, TX · CCN 450669	73	$2,471	About average	$1,966	$45,628
Medical City DentonDenton, TX · CCN 450634	212	$2,471	About average	$1,966	$49,727

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 1,019,189 procedures at 2,860 hospitals · 2021: 965,877 procedures at 2,852 hospitals · 2022: 921,225 procedures at 2,850 hospitals · 2023: 863,129 procedures at 2,798 hospitals · 2024: 815,315 procedures at 2,753 hospitals

View data as a table

National average payment and billed charge for Comprehensive Observation Services
Year of care	Average payment	Average billed charge
2020	$2,173	$19K
2021	$2,303	$20K
2022	$2,330	$22K
2023	$2,422	$23K
2024	$2,634	$24K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Comprehensive Observation Services, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	5	1,308	$1,285	$1,180–$1,485
Alabama	73	8,112	$2,241	$2,169–$2,264
Mississippi	52	11,311	$2,278	$2,235–$2,347
West Virginia	22	5,181	$2,285	$2,226–$2,367
Louisiana	64	14,412	$2,288	$2,259–$2,300
Tennessee	73	16,493	$2,299	$2,237–$2,337
Ohio	110	31,616	$2,317	$2,300–$2,380
Oklahoma	61	11,406	$2,348	$2,322–$2,440
Arkansas	40	11,142	$2,356	$2,302–$2,439
Kentucky	61	15,821	$2,359	$2,296–$2,442
South Carolina	50	15,082	$2,368	$2,308–$2,382
Kansas	33	7,920	$2,377	$2,321–$2,503
Iowa	31	7,279	$2,385	$2,330–$2,467
Missouri	63	15,191	$2,393	$2,335–$2,465
Michigan	81	23,451	$2,410	$2,364–$2,467
Georgia	92	21,579	$2,422	$2,298–$2,481
North Carolina	78	21,007	$2,426	$2,380–$2,450
Texas	233	58,602	$2,445	$2,375–$2,511
Nebraska	19	3,391	$2,450	$2,431–$2,480
Florida	166	77,597	$2,457	$2,443–$2,471
Maine	17	2,448	$2,457	$2,370–$2,519
Virginia	69	26,889	$2,459	$2,332–$2,524
Indiana	73	18,659	$2,464	$2,412–$2,485
New Mexico	22	4,083	$2,469	$2,369–$2,549
Utah	31	3,560	$2,478	$2,429–$2,452
Wisconsin	61	10,886	$2,497	$2,447–$2,538
Idaho	12	2,397	$2,548	$2,440–$2,614
Pennsylvania	122	33,705	$2,553	$2,415–$2,601
Illinois	113	39,922	$2,573	$2,522–$2,604
North Dakota	6	2,780	$2,590	$2,532–$2,653
Montana	10	3,213	$2,595	$2,543–$2,721
Colorado	48	13,460	$2,608	$2,586–$2,606
Minnesota	45	11,221	$2,627	$2,574–$2,716
New Hampshire	13	5,226	$2,637	$2,593–$2,699
South Dakota	11	2,485	$2,638	$2,559–$2,731
Arizona	54	22,819	$2,686	$2,639–$2,669
Delaware	6	4,912	$2,718	$2,698–$2,727
Wyoming	9	1,733	$2,722	$2,695–$2,745
Rhode Island	9	2,010	$2,752	$2,748–$2,778
District of Columbia	6	1,453	$2,758	$2,739–$2,795
Washington	45	8,931	$2,802	$2,728–$2,893
New Jersey	59	36,741	$2,897	$2,835–$3,029
Nevada	21	7,349	$2,900	$2,857–$2,915
Oregon	32	5,804	$2,901	$2,821–$2,873
Massachusetts	51	32,481	$2,920	$2,905–$2,928
Alaska	6	1,743	$2,936	$2,857–$2,998
New York	115	38,093	$2,983	$2,877–$3,083
Connecticut	26	15,665	$3,045	$3,022–$3,054
Hawaii	12	1,584	$3,127	$3,076–$3,276
California	242	75,162	$3,471	$3,347–$3,602

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.